Endometriosis: frightening the patients is not an acceptable alternative to inadequate surgical management and or pathophysiology ignorance

Endometriosis management is a permanent controversy. Based on the concept that the disease is chronic and will inevitably recur if a permanent amenorrhea is not obtained, and assuming that surgery may induce severe complications, many investigators have proposed long-term medical management of all patients diagnosed and or suspected to have endometriosis (1). Surgery would be reserved for a failure with medical treatment: persistent pain despite amenorrhea being attained. This “all-medical approach” may also be favored by the patients who have been extensively counseled about surgical complications.
Source: Fertility and Sterility - Category: Reproduction Medicine Authors: Tags: Reflections Source Type: research